search again

Detailed Retina Drawing and Evaluation, Follow-Up

Nationwide rates for HCPCS 92226

This covers a detailed hand-drawn or documented examination of the back of the eye, focused on the retina, performed with pupil dilation and specialized lenses. It is used to closely track a known condition such as a retinal tear, detachment, or suspicious growth over time. This is the follow-up version of the exam, used after the condition has already been evaluated once.

Rates data updated July 2026.

Facilitymedian $120 · 10th–90th $33$5,1290%20%10th90th$120Professionalmedian $50 · 10th–90th $19$2690%10%20%10th90th$50$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$30.20
Typical High
$40.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$67.61
Typical High
$131.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$44.67
Typical High
$87.10